학술논문

Ten Strategies To Lower Costs, Improve Quality, And Engage Patients: The View From Leading Health System CEOs.
Document Type
Article
Source
Health Affairs. Feb2013, Vol. 32 Issue 2, p321-327. 7p.
Subject
*DISEASE management
*COST control
*EXECUTIVES
*INFORMATION storage & retrieval systems
*MEDICAL databases
*EVALUATION of medical care
*MEDICAL care use
*ORGANIZATIONAL effectiveness
*EVALUATION of organizational effectiveness
*QUALITY assurance
*RESPONSIBILITY
*TELEMEDICINE
*TIME
*TEAMS in the workplace
*EVIDENCE-based medicine
*HEALTH insurance reimbursement
*PROFESSIONAL practice
*PATIENT-centered care
Language
ISSN
0278-2715
Abstract
Patient-centeredness—the idea that care should be designed around patients' needs, preferences, circumstances, and well-being—is a central tenet of health care delivery. For CEOs of health care organizations, patient-centered care is also quickly becoming a business imperative, with payments tied to performance on measures of patient satisfaction and engagement. In A CEO Checklist for High-Value Health Care, we, as executives of eleven leading health care delivery institutions, outlined ten key strategies for reducing costs and waste while improving outcomes. In this article we describe how implementation of these strategies benefits both health care organizations and patients. For example, Kaiser Permanente's Healthy Bones Program resulted in a 30 percent reduction in hip fracture rates for at-risk patients. And at Virginia Mason Health System in Seattle, nurses reorganized care patterns and increased the time they spent on direct patient care to 90 percent. Our experiences show that patient-engaged care can be delivered in ways that simultaneously improve quality and reduce costs. [ABSTRACT FROM AUTHOR]